Individual provider · Type 1 NPI

Cooper J. O'Neal

Pharmacist · Fort Wayne, IN

NPI number 1194554915 Active

Practice location

6202 W Jefferson Blvd
Fort Wayne, IN 46804-3073

Mailing address

3767 Sagamore Ln Apt 219
Fort Wayne, IN 46845-8218

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X45022189A (IN)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1194554915

Cooper J. O'Neal's National Provider Identifier is 1194554915, issued on Jul 30, 2024. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 30, 2024.